ArticleSocial psychiatry and psychiatric epidemiology2022
State LGBTQ policies and binge drinking among sexual minority youth in the US: a multilevel analysis.
Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 27 citations in OpenAlex.
- Spatializing Substance Use and Sexual Behaviors of Queer Men and Non-binary Individuals During COVID-19.AIDS and behavior · 2026Article
- Formative Research to Identify Contributors to Risky Drinking and Adapt an Alcohol Reduction Intervention Among Young Adults Vulnerable to HIV: Qualitative Focus Group Study.JMIR formative research · 2026Article
- LGBTQIA+ People's Perspectives on LGBTQIA+-Targeted State Policies and Mental Health: A Qualitative Study.JAMA network open · 2026Article
- Associations between Local and State Structural Stigma, Minority stress, and Mental Health in a Nationwide Sample of Sexual Minority Adolescents.Child & adolescent social work journal : C & A · 2026Article
- Linking the religious and social environment to sexual minority mental health.American journal of community psychology · 2025Article
- State policies and suicidal behavior among sexual and gender minority college students.Social psychiatry and psychiatric epidemiology · 2025Article
- Differences in Discrimination, Violence, Mental Health, and Substance Use Outcomes by Cancer History Among LGBTQ+ Individuals in North Carolina.North Carolina medical journal · 2025Article
- LGBTQ+ youth policy and mental health: Indirect effects through school experiences.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2025Article
- Associations of sexual orientation and state-level antidiscrimination policy protections with alcohol, tobacco, and mental health outcomes in a U.S. sample of adolescents and adults.Social science & medicine (1982) · 2025Article
- Article
- Material, Psychological, and Behavioral Financial Hardship Among Lesbian, Gay, and Bisexual Cancer Survivors in the United States.JCO oncology practice · 2024Article
- Daily associations between resilience factors, substance use, and affect among sexual minority youth.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024Article
- "Sorry, no results found": evaluating LGBTQIA + inclusivity of U.S. cancer centers' websites.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- LGBTQ+ cancer: priority or lip service? A qualitative content analysis of LGBTQ+ considerations in U.S. state, jurisdiction, and tribal comprehensive cancer control plans.Cancer causes & control : CCC · 2024Article
- Neurological care for LGBT+ people.Nature reviews. Neurology · 2024Review
- The impact of employment loss on mentally unhealthy days among LGBTQ+ cancer survivors during the COVID-19 pandemic: Findings from the OUT National Survey.Psycho-oncology · 2023Article
- Policing sexuality: Sexual minority youth, police contact, and health inequity.SSM - population health · 2022Article
- Financial Burden and Mental Health Among LGBTQIA+ Adolescent and Young Adult Cancer Survivors During the COVID-19 Pandemic.Frontiers in oncology · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThough higher rates of binge drinking have been reported among sexual minority (lesbian, gay, and bisexual) youths compared to their heterosexual peers in the United States, questions remain about which specific structural factors drive these inequities. We test whether state LGBTQ (lesbian, gay, bisexual, transgender, queer/questioning) policy climate is associated with youth binge drinking, as well as whether that association is unique to sexual minority youth.
methodsWe use LGBTQ policy scores compiled by the Movement Advancement Project in 2017 and analyze 2017 Youth Risk Behavior Survey data (126,432 youths living in 24 states). We fit multi-level logistic regression models to estimate odds ratios for binge drinking with state-level LGBTQ policy scores.
resultMore progressive state-level overall LGBTQ policies were associated with lower odds of binge drinking among sexual minority youths (interaction term OR = 0.990, CI 0.984-0.996, p = 0.0009), but not among heterosexuals (OR = 1.001, CI 0.992, 1.009, p = 0.881). For sexual minorities, living in the most LGBTQ-affirming state was associated with a probability of binge drinking 27% lower than that of those living in the least LGBTQ-affirming state. In sensitivity analyses, policies specific to LGBTQ youth (opposed to general LGBTQ people) were even more strongly related to sexual minorities' binge drinking (interaction term: state-level youth policy score × individual-level sexual identity-of OR = 0.949, CI 0.927-0.971, p = 0.00001). In sex-stratified models, associations with overall LGBTQ policy scores were significant only for girls (OR = 0.986, CI 0.979-0.993, p < 0.001), not boys (OR = 0.997, CI 0.986-1.008, p = 0.551), while associations with youth-focused LGBTQ policies were significant for both sexual minority girls and boys.
conclusionOur findings point to state-level LGBTQ policy climate as a potential social determinant of binge drinking problems among sexual minority youths.
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